Michael P. Saavedra 2014 M,A�►oAO� OUTSIDE EMPLOYMENT STATEMENT
For Full-time County and Municipal Employees
Full-time County and municipal employees engaging in outside
employment must file an annual disclosure report by July 1st of Disclosure for
each year, in accordance with Section 2-11.1(k)(2) of the Miami- Tax Year Ending:
Dade County Code.
Last Name:
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First Name: ail Midd Name:
Employee ID#:
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Filing as(check one) ❑Miami-Dade Co. Employee •
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Municipal Employee of:
Position Title:
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County/Municipal Department County/Municipal Division:
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If your home address is exempt from public records Work Telephone:
pursuant to Florida Statutes§119.07, please see the
note on the following page and check here: 69-3) 6?*3
Mailing Address(Street Name and Number) Apt.#
If 333 Sw 1 iZ bra' ho41tv
City State Zip Code
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Please list the sources of outside employment,the nature of the work, and the amounts of money or other
compensation you received. If continued on a separate sheet,please check here: n
Name and Address of the Source of Nature of the Work Amount of Money or
Outside Income Performed Compensation Received
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here. wear(or affirm)that the aforesaid information is a true and correct statement.
Si •• Disclosing :131:1A0 ? :_l AIL! Date Signed
61
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COE 2014